2. PERIOPERATIVE NURSING
Used to describe the nursing care provided in
the total surgical experience of the patient:
• Preoperative
• Intraoperative
• Postoperative
3. PERIOPERATIVE NURSING
PREOPERATIVE PHASE
• Extends from the time the client is admitted in the surgical unit, to the time
he/she is prepared for the surgical procedure, until he is transported into the
operating room
INTRAOPERATIVE PHASE
• Extends from the time the client is admitted to the OR to the time of
administration of anesthesia, surgical procedure is done, until he/she is
transported to the RR/PACU
POSTOPERATIVE PHASE
• Extends from the time the client is admitted to the recovery room, to the time
he is transported back into the surgical unit, discharged from the hospital, until
the follow-up care.
4. • PREPARING THE SKIN
- Have a full bath to reduce microorganisms in the skin
- Hair should be removed to avoid skin breakdown, use of electric
skipper is preferable
• Preparing the GI tract
• - NPO, cleansing enema as required
• Preparing for anesthesia
• - Avoid alcohol and cigarette smoking for atleast 24 hours before
surgery
• Promoting rest and sleep
• - Administer sedatives as ordered
PREPARING THE PATIENT THE EVENING BEFORE
THE SURGERY
5. PREPARING THE PERSON ON THE
DAY OF SURGERY
EARLY A.M Care
• * Awaken 1 hour before preop medications
• * Morning bath, mouth wash
• * Provide clean glove
• * Remove hairpins, braid long hair, cover hair with cal if available
• * Remove dentures, colored nail polish, hearing aid, contact lenses,
jewelries
• * Take baseline vital signs before pre op medications
• * Check ID band
• * Check for special orders-Enema
• * Check NPO
• * Have client void before preop medication
• * Accomplished “preop checklist”
6. NUTRITION AND HYDRATION
- Diet orders: NPO 6-12 Hours
Monitor I&O
ELIMINATION
Catheter Insertion
Bowel Preparation (Enema, use of
laxatives)
PHYSICAL PREPARATION
7. • MEDICATIONS
• Discontinue medications that are advised to be
continued
• Administer preop meds
• SPECIAL ORDERS
• Insertion of NGT
• Special skin preparation
• Take care of px’s belongings and remove all
body prosthesis
8. REDUCING ANXIETY AND FEAR
• Promote positive coping strategies
• Provide preoperative teaching
• Provide opportunity for visits from family and
friends
PSYCHOSOCIAL PREPARATION
FOR SURGERY
9. THE OPERATING ROOM
Should be free from contaminating particles, dust, pollutants, radiation,
and noise.
• THREE ZONES:
• Unrestricted
• - Street clothes are allowed
• Semi-restricted
• - Scrubs, shoe covers, caps and masks
• Restricted
• - Scrubs, shoe covers, caps, masks or gowns and gloves
INTRAOPERATIVE PHASE
10. • Unrestricted Area
• Street clothes are permitted in this area, and the area provides
access to communication with personnel within the suit and with
personnel and patients families outside the suite
• Semi-restricted Area
• Personnel entering this area must be in proper operating room attire
and traffic control must be designed to prevent violation of this are by
unauthorized persons
• Restricted Area
• Personnel working in this area must be in proper operating room
attire.
SURGICAL SETTING
12. INFORMED CONSENT SHOULD ANSWER THIS:
• -What do you plan to do to me?
• -Why do you want to do this procedure?
• -What are alternatives to this plan?
• -What things should I worry about?
• -What are the greatest risk or worst that could
happen?
13. PURPOSES:
• -To ensure that the client understand the
nature of the treatment including the potential
complications and disfigurement
• -To indicate that the client’s decision was made
without pressure
• -To protect the client against unauthorized
procedure.
• -To protect the surgeon and hospital against
legal action by a client who claims that an
authorized procedure was performed
